STEPHEN SHADID (NPI# 1962801746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962801746 |
| Entity Type | Individual |
| Full Name | STEPHEN SHADID |
| Credential | PHARMD |
| Practice Address |
412 Diamond Blvd Johnstown PA 15905-2717 |
| Practice Telephone | 8142489366 |
| Mailing Telephone | 8142489366 |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2014-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RPI008900 | PA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | RP449046 | PA | Pharmacy Service Providers |
| Street Address |
412 DIAMOND BLVD |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15905-2717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528552445 | Kristina Marie Sloan | Registered Nurse | Womens Center At Memorial Medical Center, 1111 Franklin St, Suite 210, Johnstown, PA 15905 | 2018-06-15 |
| 1376921403 | Joel Edward Messom | Obstetrics & Gynecology | 1111 Franklin St Ste 300, Johnstown, PA 15905 | 2015-05-08 |
| 1497091797 | Jessica Pacsai | Occupational Therapist | 807 Goucher Street, Johnstown, PA 15905 | 2012-12-14 |
| 1225396351 | Lusine Mesropyan | Surgery | 1086 Franklin Street Good Samaritan Building, Johnstown, PA 15905 | 2012-04-26 |
| 1467766931 | Kimberly Buchanan | Speech-Language Pathologist | 787 Goucher Street, Johnstown, PA 15905 | 2010-07-27 |
| 1205149846 | Lighthouse Medical, LLC | Clinic/Center | 507 Tire Hill Road, Suite 100, Johnstown, PA 15905 | 2010-07-26 |
| 1932357878 | Michael Cameron Sleet | Surgery | Dlp Conemaugh Memorial Hospital, 1086 Franklin Street, Johnstown, PA 15905 | 2008-09-04 |
| 1255528543 | Assisted Living Concepts Inc | Assisted Living Facility | 500 Cheney Oaks Drive, Johnstown, PA 15905 | 2007-10-01 |
| 1578766648 | Tamera Waggle | Nurse Anesthetist, Certified Registered | 1186 Franklin St., Johnstown, PA 15905 | 2007-06-07 |
| 1821206178 | Blue and Green Medical PC | Internal Medicine | 1743 Goucher Street, Johnstown, PA 15905 | 2007-05-18 |
| Find all providers in zip 15905 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386257202 | Brandon Cheskiewicz | Pharmacist | 178 Rudolph St, Johnstown, PA 15904-5804 | 2020-08-29 |
| 1871103622 | Melinda O'brien | Pharmacist | 4775 Larimer Pkwy Ste 100, Johnstown, CO 80534-9023 | 2020-08-06 |
| 1407466295 | Michael John Mcconnell | Pharmacist | 1087 Mckinley Ave, Johnstown, PA 15905-4321 | 2020-08-05 |
| 1235595307 | Emily Elizabeth Colvin | Pharmacist | 120 Packer St, Johnstown, PA 15904-2721 | 2016-01-05 |
| 1356761563 | Kevin Duong | Pharmacist | 4775 Larimer Pkwy, Johnstown, CO 80534-9022 | 2014-04-27 |
| 1801184510 | Michael Steven Fox | Pharmacist | 241 N. Comrie Ave, Johnstown, NY 12095-1506 | 2011-07-14 |
| 1790077998 | Jennifer M Goetz | Pharmacist | 1501 Scalp Ave, Johnstown, PA 15904-3308 | 2011-05-05 |
| 1639460140 | Colleen R Byrne | Pharmacist | 1759 Goucher St, Johnstown, PA 15905-1101 | 2011-05-02 |
| 1932498102 | Diane Pessolano | Pharmacist | 177 Mayluth Rd, Johnstown, PA 15904-2632 | 2011-03-28 |
| 1073812475 | David Scott Claycomb | Pharmacist | 942 Carnegie Ave, Johnstown, PA 15905-2107 | 2011-03-24 |
| Find all providers in JOHNSTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.